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COI Expires 05/23/2018ACORO® c" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 05/23/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Anne Osborne Moore Resources Insurance Agency PHONE FAX ' 727-323-0206 AIc N,: 727-323-0603 4563 Central Avenue EWC.-MAIL ADDRESS: anneo@dmins.com St. Petersburg, FL 33713 License #: L058117 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Signal Mutual Indemnity Association Ltd. INSURED INSURER B : American Alternative Insurance Corporation 19720 INSURER C: Southern Road & Bridge, LLC INSURER D: 715 Wesley Avenue INSURER E: Tarpon Springs, FL 34689 INSURER F : COVERAGES CERTIFICATE NUMBER: 00000000-4072946 REVISION NUMBER: 2 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IPOLICY LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER EFF MLUDDfYYYY POLICY EXP MMID fYYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MEO EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ GEN'L POLICY PRO- JECT LOC OTHER: A VE BY ISK h4N�GEMENT PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY BY COMBINED SINGLE LIMIT Ea accident $ DATE WAIVER N/ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Fes_._- BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A USL&H NO-7200-0 05/23/2017 05/23/2018 Statutory Under Act B MEL 1VA20M1000034-00 05/23/2017 05/23/2018 $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Garrison Bight Bridge Repair Project, Key West, Monroe County, Florida Monroe County Board of County Commissioners 1100 Simonton Street Key West, FL 33040 Gt%• 1 ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. © 1988-2015 ACORD CORPORATION. All riahts reserved ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by BAO on May 23, 2017 at 01:29PM